Suit, Jessica Moran

Suit, Jessica Moran is an individual health care provider with primary practice located at 100 Medical Center Dr , Slidell LA 70461-5520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Suit, Jessica Moran can be contacted via phone (985) 646-5750.

Contact Information

Primary practice address
100 Medical Center Dr Slidell LA 70461-5520
Phone: (985) 646-5750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP08853 Louisiana

Profile Details

NPI number 1508216144
LBN Legal business name Suit, Jessica Moran
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2016
Last updated Oct 31st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508216144 NPPES
Louisiana MEDICAID 2426681
Louisiana MEDICAID 04637823

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